Active NPI
Shayma Hashem
- Other Technician
- Dearborn Heights, MI
National Provider Identifier
1629440029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- H250765001924
- Practice address
- 26816 Wilson Dr
Dearborn Heights, MI 48127-3694 - Phone
- (313) 622-0143
- NPI assigned
- Oct 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | H250765001924 | NE | Primary |
Addresses
Primary practice location
26816 Wilson Dr
Dearborn Heights, MI 48127-3694
Mailing address
26816 Wilson Dr
Dearborn Heights, MI 48127-3694
Phone (313) 622-0143
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H250765001924 | NE | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445644800000",
"number": "1629440029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26816 WILSON DR",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481273694",
"telephone_number": "313-622-0143"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26816 WILSON DR",
"city": "DEARBORN HEIGHTS",
"state": "MI",
"postal_code": "481273694",
"telephone_number": "313-622-0143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASHEM",
"first_name": "SHAYMA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-24",
"last_updated": "2015-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "NE",
"license": "H250765001924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dearborn Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.